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Organization
UNIVERSITY REHABILITATION, LLC
Active
Organization
UNIVERSITY REHABILITATION, LLC
Active
Other names
Premier Physical Therapy and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A TUCKER PT (OWNER/PT)
(386) 756-0077
Entity
Organization
Contact information
Practice address
733 DUNLAWTON AVE, STE 103, PORT ORANGE, FL 32127-4225
(386) 756-0077
(386) 756-6811
Mailing address
PO BOX 8600, PORT ST LUCIE, FL 34985-8600
(772) 335-7966
(772) 335-7963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 4660
FL
Other
Enumeration date
10/10/2007
Last updated
08/01/2024
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